How many cabinet ministers will vote against gay marriage?

Faith minister Sayeeda Warsi, who attends cabinet, is the latest figure to raise concerns over the policy.

Ed Miliband declared earlier this week that the shadow cabinet was "united in supporting same sex marriage" but David Cameron can't say the same of his top team. Environment Secretary Owen Paterson, a renowned social conservative, has said that he does not support the move and Welsh Secretary David Jones has indicated that he will vote against it while refusing to say why. Defence Secretary Philip Hammond does not oppose equal marriage as such but has suggested that its introduction should be delayed to allow the government to "focus on the things that matter".

Today it emerged that Sayeeda Warsi, who attends cabinet as minister for faith communities and as a senior Foreign Office minister, also has concerns over the policy. In a letter leaked to the Daily Mail, Warsi asked equalities minister Maria Miller, who is piloting the legislation through parliament, to provide "clarity" on "how the legislation will protect religious freedom". She added: "What legal protection will churches and other places of worship be afforded from challenges if they refuse to undertake same-sex marriage? What legal support will be afforded to churches and others places of worship if they're challenged individually or as an organisation?"

Warsi's letter, sent after Miller's statement to MPs, is significant because it shows that even the "quadruple lock" preventing religious institutions being forced to marry same-sex couples has not been enough to assuage Tory concerns. The lock will ensure that neither religious organisations nor individual ministers will be compelled to hold the weddings on their premises, that no discrimination claims can be brought against them for refusing to marry a same-sex couple, and that religious organisations who do support equal marriage will be required to formally opt-in. In addition, the Church of England and Church in Wales will be banned from hosting same-sex weddings without new primary legislation. Some Tories are pushing for the latter measure to apply to all religious organisations.

Should Conservative cabinet ministers vote against equal marriage, it will not qualify as a rebellion because David Cameron has offered a free vote to his MPs. Ed Miliband and Nick Clegg have since followed suit after the government agreed to allow religious organisations to hold same-sex marriages.

Faith minister Sayeeda Warsi asked equalities minister Maria Miller to offer greater "clarity" on gay marriage. Photograph: Getty Images.

George Eaton is political editor of the New Statesman.

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Tetris and sleep deprivation: how we can help emergency workers cope with trauma

First responders are at serious risk of developing PTSD during events like the Paris attacks. 

Some people seem able to deal with anything. They save a stranger from bleeding out in a bombed restaurant, protect passers-by from heavily armed gunmen, pull dead and dying people out of collapsed buildings, and they keep going because it is their job. These people are first responders.

When trauma goes on for days, as it has recently in Paris, however, the odds of them bouncing back from the violence, death and injury they are witnessing rapidly diminishes. They are at greater risk of developing a severe stress reaction known as post-traumatic stress disorder (PTSD). One study found that the worldwide rate of PTSD among first responders is 10 per cent, much higher than the 3.5 per cent rate among those not involved in rescue work.

Tetris to the rescue

So how best to address the problem? Research is in its infancy, but there are some promising studies. Emily Holmes’ group at the University of Cambridge has been looking at the benefits of playing Tetris, a video game, after a traumatic experience. The idea is that this could block the consolidation of traumatic memories so they don’t “flash back” later on.

For the study, her team first traumatised people by showing them distressing footage from public safety videos. The next day they invited them back into the lab to reactivate the memories with still images taken from the videos. One group then played Tetris for 12 minutes while the other sat quietly. Over the following week, the group who played Tetris had about 50 per cent fewer unwanted memories from the films compared to the group who didn’t.

The team concluded that playing Tetris helped individuals because it soaks up their visual processing capacity, making it harder for the brain to consolidate the visual parts of a traumatic memory.

Since it takes about six hours for the brain to cement a memory, the key is to play the game soon after trauma or within six hours of re-activating the traumatic memory. How long the helpful effects of playing Tetris will last and whether it will translate into helping people after real-life trauma is still unknown.

Talking it through

Other techniques, such as “updating”, taken from a highly-effective talking treatment for PTSD, may be more practical and easier to implement.

Like a detective, updating is a technique that focuses on finding new information and linking it to the case, the past memory. This is necessary because when the brain and body are in survival mode during trauma, the mind finds it difficult to encode all the relevant facts. Often key pieces of information that could make the memory less traumatic are lost. Updating links new information to someone’s memory of their trauma to make it less upsetting.

But can updating help to reduce unwanted memories after trauma?

We carried out a study, published in PLOS ONE, in which we traumatised people by showing them terrifying films of humans and animals in distress. We then divided our participants into three groups. One group watched the films again but were given new information about how long people suffered and whether or not they lived or died – essentially, they were updated. The second group watched the same films again but without the new information. And the third group watched films of humans and animals who were not in distress. The updated group had fewer traumatic memories and PTSD symptoms than the other two groups.

Updating is now being used by some UK emergency services. First responders will gather after critical incidents and update their memories of what happened before they go home.

Sleep deprivation

There are other techniques that may be helpful. One study found that depriving people of sleep may be useful in the aftermath of trauma.

But the same study found that a week after the trauma, people who had been deprived of sleep had the same number of unwanted memories as people who had slept well afterwards. Consequently, it remains unclear whether there would be any long-lasting benefits using this method. There are, however, certainly health risks linked to lack of sleep.

Still looking for a solution

To develop preventative interventions, we need to study newly-recruited emergency workers who haven’t yet suffered on-the-job trauma and follow them over time, spotting which “coping styles”, present before trauma, may predict their reactions afterwards.

For example, some people naturally react to stressful life events by dwelling on them, thinking about why they happened for hours on end. This strategy, called rumination, has been linked to PTSD in people who survived car crashes.

If rumination predicts PTSD in first responders, then preventative interventions could train people to spot when they are dwelling on an event and refocus their attention to the task at hand.

When we have identified which factors heighten emergency workers’ risk of developing PTSD, programmes can be developed to target those vulnerabilities. Only then can an intervention, directed at first responders most at risk of developing PTSD, properly protect them in their line of work.

The Conversation

Jennifer Wild is a Senior Research Fellow in Clinical Psychology at the University of Oxford

This article was originally published on The Conversation. Read the original article.